Supplies, drugs & other prices at Valley View Medical Center

Fort Mohave, AZ · every code in this section with a posted price and a Medicare benchmark.

52 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
2019-ncov diagnostic p (U0001) $117.32 $195.54 3.3×
2d tee w or w/o fol w/con,in (C8925) $2,621.31 $4,368.85 3.1×
Adm tocilizu covid-19 1st (M0249) $350.06 $583.44 0.7×
Adm tocilizu covid-19 2nd (M0250) $350.06 $583.44 0.7×
Admin hepatitis b vaccine (G0010) $150.13 $250.22 3.0×
Admin influenza virus vac (G0008) $151.16 $251.93 3.0×
Admin pneumococcal vaccine (G0009) $158.47 $264.12 3.2×
Catheterize for urine spec (P9612) $21.91 $36.51 2.3×
Colon ca scrn not hi rsk ind (G0121) $10,869.54 $18,115.91 11.0×
Colorectal scrn; hi risk ind (G0105) $11,336.78 $18,894.63 11.4×
Covid-19 lab test non-cdc (U0002) $167.65 $279.41 3.3×
Diab manage trn per indiv (G0108) $77.40 $129 1.4×
Diab manage trn ind/group (G0109) $46.80 $78 2.9×
Direct refer hospital observ (G0379) $454.20 $757 0.7×
Drug test def 1-7 classes (G0480) $85.23 $142.05 0.7×
Elec stim other than wound (G0283) $175.14 $291.90 13.8×
Elec stim unattend for press (G0281) $250.04 $416.74 21.4×
Elisa hiv-1/hiv-2 screen (G0433) $171.60 $286 9.4×
Fern test (Q0114) $2,972.14 $4,953.57 305.1×
Group mnt 2 or more 30 mins (G0271) $39 $65 2.3×
Hbot, full body chamber, 30m (G0277) $905.92 $1,509.86 6.2×
Hep c screen high risk/other (G0472) $143.42 $239.04 3.1×
Hiv combination assay (G0475) $297.67 $496.12 12.4×
Liver dis 10 assays w/nash (0003M) $1,813.33 $3,022.22 3.6×
Mnt subs tx for change dx (G0270) $36 $60 1.1×
Mra w/cont, abd (C8900) $5,945.33 $9,908.89 16.0×
Mra w/cont, chest (C8909) $5,945.33 $9,908.89 16.0×
Mra w/cont, lwr ext (C8912) $4,755.86 $7,926.43 12.8×
Mra w/cont, pelvis (C8918) $5,146.78 $8,577.96 13.8×
Mra w/o cont, abd (C8901) $5,648.23 $9,413.72 22.2×
Mra w/o cont, chest (C8910) $5,648.23 $9,413.72 22.2×
Mra w/o cont, lwr ext (C8913) $4,458.74 $7,431.24 17.5×
Mra w/o cont, pelvis (C8919) $2,027.65 $3,379.41 8.0×
Mra w/o fol w/cont, abd (C8902) $4,468.80 $7,448 12.0×
Mra w/o fol w/cont, chest (C8911) $5,945.33 $9,908.89 16.0×
Mra w/o fol w/cont, lwr ext (C8914) $4,755.86 $7,926.43 12.8×
Mra w/o fol w/cont, pelvis (C8920) $3,109.76 $5,182.94 8.4×
Mri w/cont, breast, bi (C8906) $6,120.47 $10,200.79 16.4×
Mri w/cont, breast, uni (C8903) $3,326.40 $5,544 17.8×
Mri w/o fol w/cont, breast, (C8908) $6,120.47 $10,200.79 16.4×
Mri w/o fol w/cont, brst, un (C8905) $3,326.40 $5,544 8.9×
Oth resp proc, indiv (G0238) $113.69 $189.49 3.7×
Perc drug-el cor stent sing (C9600) $26,810.39 $44,683.99 2.2×
Psa screening (G0103) $198.08 $330.13 10.3×
Scr c/v cyto, automated sys (G0147) $63 $105 3.4×
Scr c/v cyto, autosys, rescr (G0148) $76.80 $128 2.4×
Scr c/v cyto,thinlayer,rescr (G0143) $169.20 $282 6.3×
Screen cerv/vag thin layer (G0123) $85.80 $143 4.2×
Screen pap by tech w md supv (P3000) $59.40 $99 3.2×
Therapeutic procd strg endur (G0237) $134.47 $224.12 4.4×
Tomosynthesis, mammo (G0279) $163.37 $272.28 12.9×
Trim nail(s) (G0127) $190.69 $317.81 3.0×